1.Easy
Which laboratory test is used to diagnose sickle cell disease?
- AHemoglobin electrophoresis
- BSerum ferritin and transferrin saturation
- CProthrombin time with INR
- DErythrocyte sedimentation rate
2.Easy
Which hemoglobin value in an adult woman is below the typical reference range?
- A12.8 g/dL (128 g/L)
- B9.2 g/dL (92 g/L)
- C14.6 g/dL (146 g/L)
- D13.5 g/dL (135 g/L)
3.Easy
A positive hepatitis B surface antigen (HBsAg) test means:
- AThe person is immune from vaccination only
- BThe person has never met the virus
- CThe person had hepatitis A in the past
- DThe person currently has hepatitis B infection
4.Medium
Why can a patient with liver failure have a raised INR without taking warfarin?
- AThe kidneys stop clearing the clotting factors from the blood
- BBilirubin directly destroys the clotting factors
- CAlbumin is a clotting factor, and its level falls
- DThe liver makes most clotting factors, so production falls
5.Medium
A patient is starting atorvastatin. Which laboratory test is usually checked at baseline?
- ALiver enzymes
- BBlood cultures
- CSerum lipase
- DThyroid antibodies
6.Medium
Which group of findings fits hypercalcemia?
- AThirst with very dilute urine as the only signs
- BConstipation, fatigue, confusion and kidney stones
- CTetany, muscle cramps and a positive Chvostek’s sign
- DPeaked T waves and muscle weakness only
7.Hard
A patient with sepsis has the following new results. Which set best shows organ dysfunction?
- AHemoglobin 12.5 g/dL, sodium 138 mEq/L, glucose 105 mg/dL
- BCalcium 9.4 mg/dL, phosphate 3.5 mg/dL, magnesium 1.9 mEq/L
- CWBC 11.5 × 10³/µL, potassium 4.2 mEq/L, albumin 3.8 g/dL
- DPlatelets 70 × 10³/µL, creatinine doubled, bilirubin raised
8.Hard
A patient on clozapine reports a sore throat and fever. The ANC is 400/µL (0.4 × 10⁹/L). What should the nurse do?
- AHalve the dose and give it with a throat lozenge
- BHold the clozapine and report the result at once
- CGive the dose with food to protect the stomach
- DGive the next dose and recheck the ANC next month
Answer key
- 1. A · Hemoglobin electrophoresis
- 2. B · 9.2 g/dL (92 g/L)
- 3. D · The person currently has hepatitis B infection
- 4. D · The liver makes most clotting factors, so production falls
- 5. A · Liver enzymes
- 6. B · Constipation, fatigue, confusion and kidney stones
- 7. D · Platelets 70 × 10³/µL, creatinine doubled, bilirubin raised
- 8. B · Hold the clozapine and report the result at once
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